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The proposed pilot trial aims to evaluate the feasibility of iCBT based EMI, which is a real-time, real-world, personalised and cost-effective approach, for stroke survivors' psychological well-being.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Receive iCBT based EMI with message content, delivery frequency and timing personalised to participants' preferences. |
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| Control group | No Intervention | Receive general mental health information through instant message. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iCBT-based EMI | Other | Consists of brief iCBT for psychological support (mandatory), stroke care education (optional), and real-time chat-based support messages, delivered according to participants' preferences. |
| Measure | Description | Time Frame |
|---|---|---|
| Depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]) | A 9-item scale with score ranging from 0 to 27, higher scores indicate higher severity of depressive symptom | 24-week |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety symptoms (Generalized Anxiety Disorder-7 [GAD-7]) | A 7-item scale with score ranging from 0 to 21, higher scores indicate higher severity of anxiety symptoms | 24-week |
| Stress level (Perceived Stress Scale [PSS-4]) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hong Kong PHAB Association | Hong Kong | Hong Kong | ||||
| Hong Kong Stroke Association |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D003863 | Depression |
| D000075782 | Cell Phone Use |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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A 4-item scale with score ranging from 0 to 16, higher scores indicate higher severity of stress
| 24-week |
| Spiritual well-being (Sub-scale of Spirituality Scale for Chinese Elders [SSCE]) | An 8-item scale with score ranging from 0 to 32, higher scores indicate better spiritual well-being | 24-week |
| Loneliness (UCLA Loneliness Scale [ULS-8]) | An 8-item scale with score ranging from 8 to 32, higher scores indicate higher level of loneliness | 24-week |
| Hong Kong |
| Hong Kong |
| NT West Community Rehabilitation Day Centre | Hong Kong | Hong Kong |
| Queen Mary Hospital | Hong Kong | Hong Kong |
| The Hong Kong Society for Rehabilitation | Hong Kong | Hong Kong |
| Tung Wah Hospital | Hong Kong | Hong Kong |
| United Christian Hospital | Hong Kong | Hong Kong |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D003142 | Communication |
| D012919 | Social Behavior |